Chapter 4 Quiz Flashcards

1
Q

One of the top five cause of a pre-phlebotomy pre-analytical error is:

A

Patient incorrectly identified

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2
Q

Which transition based infection control precaution stops direct spread of bacteria by touching

A

Contact precautions

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3
Q

Which transmitting based infection control precaution stops agent dispersed by talking, coughing, or sneezing?

A

Droplet precaution

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4
Q

Which transmission based infection control precaution provides protection from dust particle?

A

Airborne precaution

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5
Q

When the coagulation of fresh whole food is prevented through the used of an anticoagulant. The straw-colored fluid that can be separated from the cellular element is:

A

Plasma

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6
Q

Which characteristic is inaccurate with respect to the anticoagulant dipotassium ethylenediaminetetraacetic acid (K2EDTA)?

A

Is used for most routine coagulation studies

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7
Q

Heparin inhabits the clotting of fresh whole blood by neutralizing the effect of:

A

Thrombin

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8
Q
  1. An evacuated tube with EDTA has a __________colored stopper
A

Lavender = PURPLE

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9
Q

An evacuated tube with heparin has a __________ colored stopper

A

Green

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10
Q

An evacuated tube with sodium citrate has a ___________ colored stopper.

A

Blue
OR LIGHT BLUE

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11
Q

An evacuated tube with no anticoagulant has a ______________ colored stopper

A

Red

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12
Q

An evacuated tube with sodium fluoride

A

Gray

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13
Q

An evacuated tube with thixotropic gel

A

Gold

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14
Q

The first category of steps in performing a venipuncture include:

A

Introduction yourself and briefly explaining the procedure to the patient.

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15
Q

The second category of step in performing a venipuncture include:

A

Identifying the patient, checking test requisitions, assembling equipment, washing hands, and putting on gloves.

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16
Q

The third category of step in performing a venipuncture include:

A

Selecting an appropriate site and preparing the site

17
Q

The fourth category of step in performing a venipuncture include:

A

Reapplying the tourniquet and performing the venipuncture

18
Q

The final category of step in performing a venipuncture include:

A

Removing the tourniquet, removing the needle, applying pressure to the site, and labeling all tubes.

19
Q

The appropriate veins for performing a routine venipuncture are the

A

Cephalic, basilic, and median cubital

20
Q

A blood sample is needed from a patient with intravenous (IV) fluid lines running in one arm. Which of the following is an acceptable produce?

A

Obtain sample from the other arm

21
Q

How should the bevel of the needle be held during a venipuncture

A

Upward

22
Q

A hematoma can be form if

A

All the above
Improper pressure is applied to a site after the venipuncture.
The patient suddenly moves, and the needle comes out of the vein.
The needle punctures both walls of the vein.

23
Q

Phlebotomy problems can include

A

All the above
The use of improper anticoagulants
Misidentification of patients
Inadequate filling of an evacuated tube containing anticoagulation

24
Q

Blood specimens are unacceptable for laboratory testing when

A

All the above
There is no patient name or. IDE notification number on the label.
The label on the request form and the label on the collection containers do not match.
The wrong collection tube been used ( for example anticoagulant additive instead of tube for serum).

25
Q

If serum is allowed to remain on the clot for a prolonged period, which of the following effects will be noted

A

Elevated level serum potassium

26
Q

A red pink appearance of serum/plasma can caused by:

A

Lysis of RBC (hemolyzed serum)

27
Q

Which of the following ares is are acceptable for the collection of capillary blood from an infant

A

Medial of lateral plantar surface

28
Q

The proper collection of capillary blood includes

A

All the above
Wiping away the first drop of blood.
Occasionally wiping away the site with a plain gauze pad to avoid the build up of platelet.
Avoiding the introduction of air bubble into the column of blood in a capillary collection tube.

29
Q

A dark yellow appearance of serum/plasma can be caused by

A

Elevated bilirubin (jaundice, intercity serum).

30
Q

A milky white appearance of serum/plasma can be caused by

A

Presence of lipids or fat (lipemic serum)